定量检测降钙素原在患者感染诊断及其预后判断中的临床价值
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蒋伟

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R446

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Clinical significance of procalcitonin quantitative detection for diagnosis and prognosis of infections in patients
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    摘要:

    目的探讨血清降钙素原(procacitonin, PCT) 对患者感染诊断及其预后判断的临床价值。方法对某院2009 年9月—2010 年12月同时采集血液进行细菌培养与PCT检测患者的临床资料进行回顾性分析。结果570份同时送检的标本,PCT 和血培养的阳性率分别为46.49%(265/570)、30.18%(172/570);以0.50 ng/mL为界点,PCT 诊断的敏感性为90.53%(516/570)、特异性为64.74%(369/570),阳性预测值和阴性预测值分别为44.53%(118/265)、82.30%(251/305)。结论定量PCT检测对患者早期感染的诊断及预后判断具有重要的指导意义,可连续监测患者感染状况,及时为临床决策提供依据。

    Abstract:

    ObjectiveTo evaluate the clinical significance of procalcitonin (PCT) for the diagnosis and prognosis of infections in patients.MethodsPCT and blood culture data of patients in a hospital from September 2009 to December 2010 were analyzed retrospectively.ResultsAmong 570 detected samples, the positive rate of PCT and blood culture was 46.49% (265/570) and 30.18% (172/570) respectively; when PCT=0.50ng/mL was used as the cutoff value of diagnosis, the sensitivity and specificity of PCT was 90.53%(516/570)and 64.74%(369/570) respectively, the positive and negative predictive value of PCT was 44.53%(118/265)and 82.30%(251/305) respectively.ConclusionQuantitative PCT has important guiding significance for the early diagnosis and prognosis evaluation of infections in patients, it can provide evidence for clinical decisionmaking by continuously monitoring infections in patients.

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蒋伟,李少增,周峥.定量检测降钙素原在患者感染诊断及其预后判断中的临床价值[J]. 中国感染控制杂志,2012,11(3):189-191.
JIANG Wei, LI Shaozeng, ZHOU Zheng. Clinical significance of procalcitonin quantitative detection for diagnosis and prognosis of infections in patients[J]. Chin J Infect Control, 2012,11(3):189-191.

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  • 收稿日期:2011-08-28
  • 最后修改日期:2011-10-28
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  • 在线发布日期: 2012-05-30
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